Wellformed AI

NPI 1679156327 · live from the CMS NPI Registry

Samantha Benesh

Behavior Analyst in Clackamas, OR. National Provider Identifier 1679156327, active.

NPI record

NPI1679156327 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location13518 Se 97th Ave, Clackamas, OR 97015
Practice phone866-727-8274
EnumeratedApril 30, 2021
Last updatedSeptember 19, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.